Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 12356 | Date 22/08/2023 |
| Token No | SM/22-23/23787 22/08/2023 | Serial | 047 Last Visit: 11/12/2025 |
| Patient Name | Mrs. MAHAMAYA GHOSH | Contact No | 9088868366 |
| Address | BAIDYABATI BOSE PARA | Age | 59 Years,5 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 42.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||